Effect of end of life education on medical students’ and health                 care workers’ death attitude

Purpose Dysphagia is common in the last days of life (Bogaardt et al., 2015). Patients themselves, their families and caregivers, and health care professionals often struggle to deploy best practices in dysphagia management during this stage. Despite agreement that one's end-of-life should promote comfort, whether or not this is achieved can be unintentionally negatively impacted by the values of loved ones and health care workers, as well as health care workers' practice patterns. Importantly, we have yet to establish a comprehensive understanding of the patient experience at end-of-life to determine what truly entails “comfort” surrounding eating and drinking. Speech-language pathologists are increasingly consulted to address swallowing at end-of-life. It behooves the skilled clinician to have an understanding of the human condition in the final days to hours of life. Method In this piece, we explore the effects of food, drink, and the fasted state in both healthy adults and adults at end-of-life. We pose the thought-provoking question: Do food and drink contribute to a quality of death? Conclusion With this information, we work at the top of our license as providers who bring a unique, comprehensive understanding of such patients to the multidisciplinary comfort care team.

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BACTERIAL CONTAMINATION OF HANDS OF MEDICAL INTERNS AND UNDERGRADUATE STUDENTS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i12.20908 ◽

2017 ◽

Vol 10 (12) ◽

pp. 145

Author(s):

Sunandha Senthil ◽

Ashwini Hegde ◽

Vaman Kulkarni ◽

Radhakrishna M

Keyword(s):

Health Care ◽

Medical Students ◽

Hand Hygiene ◽

Undergraduate Students ◽

Health Care Workers ◽

Nosocomial Infections ◽

Resistant Bacteria ◽

Care Workers ◽

Cross Transmission ◽

Medical Interns

Objective: Cross-transmission by the hands of health-care workers is considered the main route of spread of nosocomial infections. Awareness among medical students and interns about the importance of hand hygiene practices and facilities for its adherence can play a major role in reducing disease transmission. The objectives of the present study were: (1) To determine the level and type of microbial contamination present on the hands of medical students and interns from a teaching hospital of Mangalore, Karnataka, and (2) to evaluate the relationship between hand contamination and knowledge, attitude, and practices of hand hygiene.Methods: Swabs were obtained from the dominant hand and the skin surface beneath the rings of participants during their routine work hours. Laboratory analysis was carried out within one hour of collection of samples. The participants were asked to fill a questionnaire on hand hygiene. Descriptive statistics and analysis was done by Chi-square test.Results: Of the 70 study participants, 35 (50%) were medical undergraduate students and 35 (50%) were medical interns. The contamination rate was higher among the undergraduates (91.4% [32/35]) compared to interns (77.1% [27/35]). 38 (54%) participants hands were contaminated with Staphylococcus aureus, of which 17 (44.7%) were methicillin-resistant S. aureus. Although overall knowledge status about hand hygiene was good, concepts about certain key elements in hand hygiene were not clearly understood by the participants. Knowledge about alcohol-based hand rubs was not up to the mark. The level of knowledge was found to be similar between UGs and interns and between the genders. Wearing ring while handling patients had an influence on hand contamination.Conclusions: Although the overall knowledge about hand hygiene was good, very few participants knew that hand hygiene after exposure to immediate surroundings of patient can prevent cross-transmission. Health-care workers may unknowingly carry antibiotic-resistant bacteria on their hands. Being unaware of this fact may have serious repercussions as the students and interns may serve as a medium for the spread of nosocomial infections.

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Understanding Physicians' Skills at Providing End-of-Life Care. Perspectives of Patients, Families, and Health Care Workers

Journal of General Internal Medicine ◽

10.1111/j.1525-1497.2001.00333.x ◽

2001 ◽

Vol 16 (1) ◽

pp. 41-49 ◽

Cited By ~ 52

Author(s):

J. Randall Curtis ◽

Marjorie D. Wenrich ◽

Jan D. Carline ◽

Sarah E. Shannon ◽

Donna M. Ambrozy ◽

...

Keyword(s):

Health Care ◽

End Of Life ◽

Health Care Workers ◽

End Of Life Care ◽

Life Care ◽

Care Workers

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Self-reported vaccination status and attitudes towards mandatory vaccinations for health care workers among medical students

Vaccine ◽

10.1016/j.vaccine.2020.06.046 ◽

2020 ◽

Vol 38 (35) ◽

pp. 5695-5699

Author(s):

Ursula Kunze ◽

Heike Schweinzer

Keyword(s):

Health Care ◽

Medical Students ◽

Health Care Workers ◽

Vaccination Status ◽

Care Workers

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Medical students’ and public obstetric health care workers’ knowledge of the Saving Mothers campaign

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v3i1.184 ◽

2011 ◽

Vol 3 (1) ◽

Author(s):

Almereau Prollius ◽

Gina Joubert ◽

Adelien Du Toit ◽

Susan Joubert ◽

Tarina Lourens ◽

...

Keyword(s):

Health Care ◽

Medical Students ◽

Maternal Mortality ◽

Big Five ◽

Health Care Workers ◽

Median Score ◽

Related Factors ◽

Obstetric Haemorrhage ◽

Care Workers ◽

Different Levels

Maternal mortality in South Africa has been receiving attention since it became notifiable in 1997. The ’big five’ causes of maternal mortality are non-pregnancy-related infections (mainly HIV), complications of hypertension during pregnancy, obstetric haemorrhage, pregnancyrelated sepsis and pre-existing medical conditions. In many cases in which women die during pregnancy or childbirth, avoidable health worker-related factors can be identified. This study assessed the knowledge of different levels of medical students and health care workers at public health obstetric facilities in Bloemfontein concerning the Saving Mothers campaign.The self-administered, test-like questionnaire was completed by senior medical students,interns and obstetric personnel (nurses or midwives). Interns obtained the highest median score (48%) for the questionnaire, while nurses obtained a median score of 31%. The results strongly suggest that training specific to the Saving Mothers campaign is urgently required across all levels of health care personnel.

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The reliability of the Study burnout inventory among Medical students

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.341 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

J Todorovic ◽

Z Terzic-Supic ◽

J Divjak ◽

S Kocic ◽

S Radovic ◽

...

Keyword(s):

Health Care ◽

Medical Students ◽

Health Care Workers ◽

Burnout Syndrome ◽

Psychometric Characteristics ◽

Good Reliability ◽

Retest Reliability ◽

Cronbach Alpha ◽

Care Workers ◽

Test Retest Reliability

Abstract Background The burnout syndrome is increasingly recognized as the factor compromising the mental health of health-care workers. The demands of higher education were reported to influence the development of burnout syndrome among students. Medical students are a significant population as both future health care workers and students with high academic demands. The burnout among medical students has been studied using different questionnaires. The aim of this study was to assess the psychometric characteristics of the Study Burnout inventory for the assessment of burnout among medical students. Methods The cross-sectional study was conducted during December of 2019 among the fifth year Medical students at the five Universities in Serbia (University of Belgrade, Novi Sad, Kragujevac, Nis, and Kosovska Mitrovica). The questionnaire used was the Study Burnout Inventory, nine-item scale, measuring three dimensions of burnout (exhaustion from studying- EXH; cynicism toward the meaningfulness of studying-CYN; the sense of inadequacy as a student-INAD). Answers were given on a six-point Lickert scale. The assessment of psychometric characteristics of the questionnaire was done using the reliability analysis (Cronbach alpha-α) and test-retest reliability (intra-class coefficient-ICC). Sensitivity and specificity were assessed using the Receiver operation curves (ROC) compared to the total burnout assessed by the Copenhagen burnout inventory. Results A total of 493 students filled-in the questionnaire. The mean score was 28.95±8.87/54. The Cronbach alpha for the total scale was α = 0.839, for the EXH scale was α = 0.724, for the CYN scale was α = 0.767, and for the INAD scale was α = 0.431. The test-retest reliability was ICC=0.750. The total area under the curve was 0.756 (95% CI: 0.711-0.800). Conclusions The Study Burnout Inventory has good reliability and can be used for rapid assessment of burnout among Medical students, as this scale is short and convenient for the participants. Key messages The Study burnout inventory has a good reliability as a total scale. This short scale is convenient for the participants and can be used for assessment of burnout.

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